| NPI | 1285192245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD THAYER Owner And Executive Director 843-442-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |